<!--
To change this template, choose Tools | Templates
and open the template in the editor.
-->
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>LCD <?php echo $lcdId[0] ?> Information</title>
    </head>
    <body>

        <table width="100%" border="1">
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "LCD ID : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdId[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "LCD TITLE : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdTitle[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "LCD Revision Effective Date : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdRevEffDate[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "INDICATION : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdIndication[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "DOC. REQ.: "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdDocReqs[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "ADVISORY MEETING : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdAdvMeeting[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "POLICY HISTORY : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdHistoryExp[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "COVERAGE PROVISION : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdCmcCovPolicy[0]; ?></td>
            </tr>
            <tr>
                <td style="padding-left: 10px;" width="17%"><?php echo "TYPICAL UTILIZATION : "; ?></td>
                <td style="padding-left: 10px;" width="83%"><?php echo $lcdUtilGuide[0]; ?></td>
            </tr>
            <?php
            if (count($hcpcCodeId) > 0) {
            ?>
                <tr>
                    <td style="padding-left: 10px;" width="17%"><?php echo "HCPC CODE RELATED DATA : "; ?></td>
                    <td style="padding-left: 10px;" width="83%">
                        <table width="100%" border="1">
                            <tr bgcolor="3366FF" style="font-weight: bold">
                                <td align="center" width="10%" style="padding-left: 2px;">
                                    HCPC Code Id
                                </td>
                                <td align="center" width="10%" style="padding-left: 2px;">
                                    HCPC Code Version
                                </td>
                                <td align="center" width="30%" style="padding-left: 2px;">
                                    HCPC Code Short Description
                                </td>
                                <td align="center" width="50%" style="padding-left: 2px;">
                                    HCPC Code Long Description
                                </td>
                            </tr>
                        <?php
                        for ($i = 0; $i < count($hcpcCodeId); $i++) {
                            if ($i % 2 != 0) {
                                echo "<tr bgcolor='99CCFF'>";
                            } else {
                                echo "<tr>";
                            }
                            echo "<td width='10%' style='padding: 1px 0 1px 2px;'>" . $hcpcCodeId[$i] . "</td>";
                            echo "<td width='10%' style='font-weight: normal; padding: 1px 0 1px 2px;'>" . $hcpcCodeVersion[$i] . "</td>";
                            echo "<td width='30%' style='padding: 1px 0 1px 2px;'>" . $hcpcShortDescription[$i] . "</td>";
                            echo "<td width='50%' style='padding: 1px 0 1px 2px;'>" . $hcpcLongDescription[$i] . "</td>";
                            echo "</tr>";
                        }
                        ?>
                    </table>
                </td>
            </tr>
            <?php } ?>
            <?php
                    if (count($icd9CodeId) > 0) {
            ?>
                        <tr>
                            <td style="padding-left: 10px;" width="17%"><?php echo "ICD 9 CODE RELATED DATA : "; ?></td>
                            <td style="padding-left: 10px;" width="83%">
                                <table width="100%" border="1">
                                    <tr bgcolor="3366FF" style="font-weight: bold">
                                        <td align="center" width="10%" style="padding-left: 2px;">
                                            ICD9 Code Id
                                        </td>
                                        <td align="center" width="10%" style="padding-left: 2px;">
                                            ICD9 Code Version
                                        </td>
                                        <td align="center" width="80%" style="padding-left: 2px;">
                                            ICD9 Code Description
                                        </td>
                                    </tr>
                        <?php
                        for ($i = 0; $i < count($icd9CodeId); $i++) {
                            if ($i % 2 != 0) {
                                echo "<tr bgcolor='99CCFF'>";
                            } else {
                                echo "<tr>";
                            }
                            echo "<td width='10%' style='padding: 1px 0 1px 2px;'>" . $icd9CodeId[$i] . "</td>";
                            echo "<td width='10%' style='font-weight: normal; padding: 1px 0 1px 2px;'>" . $icd9CodeVersion[$i] . "</td>";
                            echo "<td width='80%' style='padding: 1px 0 1px 2px;'>" . $icd9Description[$i] . "</td>";
                            echo "</tr>";
                        }
                        ?>
                    </table>
                </td>
            </tr>
            <?php } ?>
        </table>
    </body>
</html>

